Ogren Kenneth, Sandlund Mikael
Department of Clinical Science, Division of Psychiatry and Department of Culture and Media, Umeå University, Umeå, Sweden.
Nord J Psychiatry. 2007;61(5):355-62. doi: 10.1080/08039480701643498.
This retrospective survey aims at describing patients subjected to prefrontal lobotomies and the general treatment conditions at Umedalen State Mental Hospital during the period 1947-1958. Data collected from psychiatric and surgical medical records was analysed using quantitative and qualitative content analysis. A total of 771 patients subjected to lobotomy during the years 1947-1958 were identified. From these, a sample of 105 patients was selected for the purpose of obtaining detailed data on socio-economic status, diagnosis, symptomatology, other psychiatric treatments applied before the pre-frontal lobotomy operation, time spent in hospital before operation, praxis of consent and mortality. The diagnosis of schizophrenia was found in 84% of the 771 lobotomized patients. The post-operative mortality was 7.4% (57 deaths), with the highest rate in 1949 (17%). The mean age of the patient at the time of operation was 44.8 years for females and 39.5 years for male patients. The average length of pre-operative time in hospital for females was 10.7 years and for males 3.5 years. It remains unclear why this mental hospital conducted the lobotomy operation to such a comparatively great extent. Factors such as overcrowding of wards and its status as a modern mental hospital may have contributed.
这项回顾性调查旨在描述1947年至1958年期间在乌梅达伦州立精神病院接受前额叶脑叶切断术的患者以及一般治疗情况。从精神病学和外科医疗记录中收集的数据采用定量和定性内容分析法进行分析。确定了1947年至1958年期间共有771名患者接受了脑叶切断术。从中选取了105名患者作为样本，目的是获取有关社会经济状况、诊断、症状、前额叶脑叶切断术前应用的其他精神科治疗、术前住院时间、同意做法和死亡率的详细数据。在771名接受脑叶切断术的患者中，84%被诊断为精神分裂症。术后死亡率为7.4%（57例死亡），1949年死亡率最高（17%）。女性患者手术时的平均年龄为44.8岁，男性患者为39.5岁。女性术前平均住院时间为10.7年，男性为3.5年。目前尚不清楚这家精神病院为何如此大规模地进行脑叶切断术。病房过度拥挤及其作为一家现代化精神病院的地位等因素可能起到了一定作用。
